Provider Demographics
NPI:1558773846
Name:BRITE PSYCHOLOGICAL SERVICES, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:BRITE PSYCHOLOGICAL SERVICES, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:H
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:JR
Authorized Official - Credentials:PSYD
Authorized Official - Phone:626-581-6752
Mailing Address - Street 1:265 S RANDOLPH AVE
Mailing Address - Street 2:SUITE 165
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-5754
Mailing Address - Country:US
Mailing Address - Phone:714-582-2149
Mailing Address - Fax:714-544-1473
Practice Address - Street 1:265 S RANDOLPH AVE
Practice Address - Street 2:SUITE 165
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-5754
Practice Address - Country:US
Practice Address - Phone:714-582-2149
Practice Address - Fax:714-544-1473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-21
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 25423103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty